Correction of Severe Obstructive Sleep Apnea Syndrome with Interdisciplinary Medical and Dental Treatment Planning

Treatment of Chronic Temporomandibular Joint Pain and Sleep Disordered Breathing by Teledontic and Telegnathic Protocol Utilizing Total Joint Replacement

“…Prescribed therapies might include weight loss, behavior modification, oral appliances, soft-tissue surgery, skeletal surgery, or some combination thereof [25] [37]. The field of dentistry and its involvement with the POF environment, provides the dental practitioner with an opportunity in screening for the presence of SDB and OSA as a complex health condition or participation in its treatment [24].…”

“…Teledontics and telegnathic treatment protocol is the science and technologies for diagnosis, prevention, management and treatment of SDB by means of expansion, restoration and maintenance of POF complex [24] [31] [32]. CC/MMA as teledontic/telegnathic protocol by expansion of the posterior nasopharyngeal opening also augment the nasal cavity.…”

“…The case presented in this paper demonstrates the effective participation of the orthopedic physician and dental practitioner equipped with teledontics and telegnathic knowledge as a member of an interdisciplinary dental/medical team collaborating in the treatment of SDB and chronic TMJ, head, neck and shoulder pain by treatment of POFD. This article also demonstrates the effectiveness of teledontics and telegnathic surgery utilizing total joint replacement procedure in the treatment of SDB [24]. There is some evidence suggesting that obstructive sleep apnea is associated with sleep bruxism.…”

“…When orthodontic and orthognathic surgical procedures are used for the expansion and restoration of the POF complex for treatment of SDB and OSA, they are referred to as teledontics and telegnathic surgery [24] …”

“…POFD, including hypoplastic maxilla and mandible, is common findings in SDB including OSA as well as URAS and needs to be recognized by clinicians [18]. POFD and its effects on the systemic health continue to be underestimated in the development and severity of SDB [23] [24].…”